Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,079.46 / $12,022.64	Facility		$1,905.46	$7,079.46	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $21,877.62	Facility		$1,412.54	$5,128.61	$21,877.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $776.25 / $3,630.78	Facility		$691.83	$776.25	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $5,754.40	Facility		$524.81	$1,258.93	$5,754.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $5,754.40	Facility		$562.34	$1,258.93	$5,754.40
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $14,125.38	Facility		$1,288.25	$8,128.31	$14,125.38